Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Rockford, IL

NPI number 1306486022 Active

Practice location

1221 E State St
Rockford, IL 61104-2231

Call (312) 413-3282 Map

Mailing address

1220 S Wood St
Chicago, IL 60608-1202

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

63 other providers at this address

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About NPI 1306486022

The Board of Trustees of the University of Illinois's National Provider Identifier is 1306486022, issued on Jan 10, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rockford, IL. The record was last updated on Jun 27, 2025.